ALLISON KELLY SKAE Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002674

License Status

INACTIVE

Business

First Name

ALLISON

Middle

KELLY

Last Name

SKAE

Business Name

ALLISON KELLY SKAE

Original Issue Date

12/08/2005

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

01/11/2012